This is a prospective, randomized, single blind, concurrent controlled, multi-center study. Patients presenting with symptoms of acute ischemic stroke who have evidence of a large vessel (2.5mm or greater in diameter) occlusion in the cerebral circulation will be assigned to either the Penumbra System with the Separator 3D or the Penumbra System without the Separator 3D. Each treated patient will be followed and assessed for 3 months after randomization. Up to 230 evaluable patients at up to 50 centers presenting with acute ischemic stroke in vessels accessible to the Penumbra Separator 3D System for revascularization within 8 hours of symptom onset. The hypothesis to be tested is that the safety and effectiveness of the Penumbra System with the Separator 3D for the revascularization of large vessel occlusion is not inferior to the Penumbra System alone.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
198
The Separator 3D is an additional Separator with a new tip configuration for the Penumbra System.
The Penumbra System® is a new generation of neuro-embolectomy devices specifically designed to remove thrombus through aspiration.The treatment paradigm of this System involves the introduction of the Reperfusion Catheter through a guide catheter into the intracranial vasculature, and guided over an appropriate guidewire to the site of primary occlusion. The Reperfusion Catheter is used in parallel with the Separator and an aspiration source (Aspiration Pump) to separate the thrombus and aspirate it from the occluded vessel.
Hoag Hospital
Newport Beach, California, United States
Swedish Medical Center
Denver, Colorado, United States
Hartford Hospital
Hartford, Connecticut, United States
Grady Health System
Atlanta, Georgia, United States
St. Joseph Hospital- Healtheast
Saint Paul, Minnesota, United States
Kaleida Health
Buffalo, New York, United States
Stony Brook University Hospital
Stony Brook, New York, United States
Vanderbilt University Medical Center
Nashville, Tennessee, United States
Number of Participants With Angiographic Revascularization of the Occluded Target Vessel
Number of Participants with Angiographic revascularization of the occluded target vessel defined by mTICI grade 2-3
Time frame: At immediate post-procedure
Number of Device-related Serious Adverse Events
Time frame: Within 24 hours post-procedure
Number of Procedure-related Serious Adverse Event
Time frame: Within 24 hours post-procedure
Good Clinical Outcome at 30 Days
Defined by a 10 points or more improvement in the NIHSS at Discharge, a NIHSS score of 0-1 at Discharge; or a 30-day mRS score of 0-2. The NIHSS is a stroke scale that measures impairment caused by stroke. The Modified Rankin scale (mRS) measures neurological disability or dependence for stroke patients.
Time frame: 30 days post-procedure
Number of Participants With 90 Day mRS Score 0-2
Time frame: at 90 days post-procedure
All Cause Mortality
Time frame: At 90 days post-procedure
Number of Symptomatic Intracranial Hemorrhage
Time frame: Within 24 hours post-procedure
Good Neurological Outcome at 90 Days
Defined by an mRS score of 0-2, or equal to the pre-stroke mRS score if the pre-stroke mRS score was higher than 2, or an improvement of 10 or more points on the NIHSS score
Time frame: At 90 days post-procedure
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